Compliance Specialist – Coding

This is a fully remote position, open to applicants in Kentucky.

📋 Description

• Assist in the creation of detailed billing and coding audit strategies.

• Generate reports and analyze information from various databases and software systems within ARH.

• Conduct audits and requested inquiries independently.

• Execute and document follow-up activities on audits to ensure continuous monitoring and the implementation of corrective action plans.

• Prepare detailed written audit reports that encompass the audit process and methodology, findings, root cause analysis, and suggestions.

• Discuss audit findings with management at all levels and provide education as necessary.

• Stay updated on changes in statutes, regulations, compliance standards, and practices.

• Evaluate programs and activities impacted by industry regulations and propose modifications to non-compliant procedures and practices.

• Engage in annual risk assessments and suggest process or policy enhancements.

• Maintain coding certification.

• Provide training on coding and reimbursement updates.

• Perform additional duties as assigned.

⛳️ Requirements

• Bachelor’s degree.

• Three years of experience in healthcare, with preferred expertise in coding, reimbursement, risk, or regulatory compliance.

• Strong grasp of coding, internal auditing, or reimbursement laws.

• Excellent communication and teamwork abilities.

• Proven leadership skills.

• Proficient in data analysis and reporting tools.

• Ability to uphold confidentiality and manage sensitive information with discretion and professionalism.

• Capability to handle multiple deadlines and projects concurrently.

• Health care compliance certification preferred.

• Maintains coding certification.

🏝️ Benefits

• Competitive salary.

• Comprehensive health benefits.

• Opportunities for professional development.

• Flexible working environment.